Provider Demographics
NPI:1437262425
Name:SMITH, DEBORAH L (LMHC)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:L
Last Name:SMITH
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6917 W GRANDRIDGE BLVD
Mailing Address - Street 2:SUITE D
Mailing Address - City:KENNEWICK
Mailing Address - State:WA
Mailing Address - Zip Code:99336-7737
Mailing Address - Country:US
Mailing Address - Phone:509-222-1348
Mailing Address - Fax:509-737-9010
Practice Address - Street 1:303 BRADLEY BLVD.
Practice Address - Street 2:SUITE 102
Practice Address - City:RICHLAND
Practice Address - State:WA
Practice Address - Zip Code:99352
Practice Address - Country:US
Practice Address - Phone:509-946-9715
Practice Address - Fax:509-946-9765
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-16
Last Update Date:2017-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00009731101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health